中西医结合治疗肾性高血压

肾性高血压以阴虚阳亢为主,然而通过临床观察,在肾性高血压病患者中,确实存在着阳虚型,以温阳为主并结合临床随证加减治疗此类型肾性高血压病确有疗效。中医药治疗肾性高血压的方案多样化,其疗效评价思路,不仅是对血压、生化指标和中医症状、体征、证候变化研究,还着力于提高患者生存质量,改善长期预后,具有安全可靠、整体调节、多方位、多靶点的综合效应。但是中医药在治疗高血压方面取得了很大的进步,但仍存在着降压疗效不肯定,降压机理不明确等问题,所以,虽然中医药治疗肾性高血压的疗效十分肯定,但是其具体机制、疗效稳定性等的研究道路还很漫长,希望在不久的将来,更多学者研究相关的中医药物,使中医治疗肾性高血压更上一层楼。

Review of Renal Hypertension Treated by Integrative Chinese and Western Medicine

Most renal hypertension is due to yin deficiency and yang hyperactivity.However,according to clinical observation,among the patients with renal hypertension there are yang deficiency pattern,for which the method of warming yang modified based on the clinical symptoms is very effective.The TCM therapeutic schemes for renal hypertension is multiple and the train of thought of the efficacy evaluation is not only a research on the hypertension,biochemical criteria and TCM symptoms,signs and the changes of syndromes but also focus on improving the survival quality and long-term prognosis,with safe,reliable,oval regulatory,multi-angle and multi-target effects.Even though great progress has been made in the TCM treatment for hypertension,problems such as indefinite anti-hypertensive effects and anti-hypertensive mechanism still exist.For this reason,the researches on the specific mechanism and the stability of the efficacy still have a long way to go.